摘要
目的 观察小剂量罗哌卡因复合芬太尼用于腰麻 -硬膜外联合阻滞 (CSE)的可行性。方法 将 3 0例拟在CSE下行下肢手术患者随机分为两组。R组给予罗哌卡因 15mg ,RF组给予罗哌卡因 7.5mg +芬太尼 2 0 μg。两组均配成重比重液 3ml。观察两组运动及感觉阻滞程度及不良反应发生情况。结果 两组间感觉阻滞程度无显著差异。RF组运动阻滞程度明显低于R组。RF组麻醉后血流动力学稳定 ,不良反应少于R组。结论 小剂量罗哌卡因复合芬太尼用于CSE可以提供完善的感觉阻滞 ,术中血流动力学稳定 ,适用于下肢手术的麻醉。
Objective To evaluate the clinical efficacy of small-dose of ropivacaine combined with fentanyl for combined spinal-epidual (CSE) anesthesia.Methods Thirty patients for lower limb surgery under the combined spinal-epidual anesthesia were randomly divided into 2 groups.Ropivacaine 15 mg or ropivacaine 7.5 mg combined with fentanyl 20 μg was given intrathecally in R or RF group respectively.The drugs were diluted with 10% dextrose into hyperbaric mixture at the volume of 3 ml in each group.The difference of sensory and motor block,the adverse effects were observed in each group.Results There was no difference in sensory block between the two groups.The degree of motor block in RF group was milder than that in R group.The cardiovascular function was more stable and the adverse effects were less in RF group.Conclusion Small-dose of ropivacaine and fentanyl for CSE anesthesia can provide satisfactory sensory block and stable cardiovascular function.It is suitable for lower limb surgery anesthesia.
出处
《临床外科杂志》
2004年第9期557-559,共3页
Journal of Clinical Surgery
